<style>
    .layui-iconpicker-body.layui-iconpicker-body-page .hide {
        display: none;
    }
</style>
<link rel="stylesheet" href="/static/plugs/lay-module/autocomplete/autocomplete.css?v={$version}" media="all">
<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">

        <div class="layui-form-item">
            <label class="layui-form-label">政策规则名称</label>
            <div class="layui-input-block">
                <input type="text" id="title" name="title" class="layui-input" lay-reqtext="请输入名称" placeholder="请输入名称" value="">
            </div>
        </div>

        <!-- <div class="layui-form-item">
            <label class="layui-form-label">绑定政策</label>
            <div class="layui-input-block">
                <select id="qe_id" name="qe_id" lay-reqtext="请选择政策" data-select="{:url('insurance.qe/index')}" data-fields="id,title" data-value="">
                </select>
            </div>
        </div> -->

        <div class="layui-form-item">
            <label class="layui-form-label">有无绑定驾乘</label>
            <div class="layui-input-block">
                <select id="is_bind_jc" name="is_bind_jc" lay-reqtext="请选择有无绑定驾乘" data-value="">
                    <option value="">请选择</option>
                    <option value="2">无</option>
                    <option value="1">有</option>
                </select>
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">是否粤H</label>
            <div class="layui-input-block">
                <select id="is_yh" name="is_yh" lay-reqtext="请选择粤H" data-value="{$row.car_type|default=''}">
                    <option value="">请选择</option>
                    <option value="2">否</option>
                    <option value="1">是</option>
                </select>
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">有无绑定司乘</label>
            <div class="layui-input-block">
                <select id="is_bind_sc" name="is_bind_sc" lay-reqtext="请选择有无绑定司乘" data-value="">
                    <option value="">请选择</option>
                    <option value="2">无</option>
                    <option value="1">有</option>
                </select>
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">被保人最低年龄</label>
            <div class="layui-input-block">
                <input type="number" min="" id="age_min" name="age_min" class="layui-input" lay-reqtext="请输入被保人最低年龄" placeholder="请输入被保人最低年龄" value="">
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">第三者保费</label>
            <div class="layui-input-block">
                <input type="number" min="" id="third_party_min" name="third_party_min" class="layui-input" lay-reqtext="请输入第三者保费" placeholder="请输入第三者保费" value="">
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">减点数</label>
            <div class="layui-input-block">
                <input type="number" min="" id="reduce_percentage_point" name="reduce_percentage_point" class="layui-input" lay-reqtext="请输入减点数" placeholder="请输入减点数" value="">
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>